RT Journal Article SR Electronic T1 P4.090 Reminders Remain the Best Client Driven Adherence Coping Strategy For Those Taking Lifelong on Anti Retro Viral Therapy (ART)-The AIDS Support Organization (TASO) Operational Research Findings JF Sexually Transmitted Infections JO Sex Transm Infect FD BMJ Publishing Group Ltd SP A316 OP A316 DO 10.1136/sextrans-2013-051184.0988 VO 89 IS Suppl 1 A1 Kawuba, A A1 Denis, M A1 Nathan, K A1 Faridah, N A1 Shafik, M YR 2013 UL http://sti.bmj.com/content/89/Suppl_1/A316.2.abstract AB Background For one to register ART success, good adherence is of utmost importance. With Art paradigm shift clients face a number of challenges in the long term that requires long term strategies for success. A study to assess the major ART adherence coping strategies among clients enrolled on treatment with a four years and above experience was conducted. Method This was a cross sectional study by design using semi structured questionnaires. Data was analysed using logistic regression model. Convenient sampling targeting a total of 400 TASO clients aged 18 years and above, with over four years experience on ART first line Regimen. Results A total of 400 clients were interviewed and 43% coped by using reminders, 0.3% by their times of brushing their teeth, 7.5% by before and after morning and evening prayers, 1% by counsellors support, 9.5% by their medicine companions and 38.8% had this as a habit. Conclusion Majority of the clients use reminders for good adherence in the long term. Baseline adherence preparation is very important since it directly leads to development of positive adherence habits.